Doctor Name: | KERRY RAE PIPPIN |
NPI Number: | 1043414667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 5888 |
Business Practice Address: | 415 1st Ave Fairbanks, AK - 997014722 |
Business Phone Number: | 9073476494 |
Business Fax Number: | |
Mailing Address: | 665 Cranberry Ridge Dr, FAIRBANKS |
State: | AK |
Postal Code: | 997121102 |
Phone Number: | 9073476494 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 08/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5888 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |